Active NPI
Sean-Patrick Russell
- Certified Registered Nurse Anesthetist
- Lauderhill, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- APRN11019891
- Practice address
- 5658 NW 16TH St
Lauderhill, FL 33313-5448 - Phone
- (954) 554-0286
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine Registered Nurse | 163WC0200X | RN9436906 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN11019891 | FL | Primary |
Addresses
Primary practice location
5658 NW 16TH St
Lauderhill, FL 33313-5448
Mailing address
5658 NW 16TH St
Lauderhill, FL 33313-5448
Phone (954) 554-0286
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1700 S 23Rd St
Lawnwood Regional Medical Center
Fort Pierce, FL 34950-4803
Phone (772) 461-4000
4300 Alton Rd
Miami, FL 33140-2948
Phone (888) 851-4642
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN9436906 | FL | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anesthesia Medicine Services of FL, LLC | Current | Accepting new patients | |
| Anesthesia Dynamics LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Miami Beach Anesthesiology Associates Inc | Current | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000
340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776
6700 Lake Nona Blvd
Orlando, FL 32827
Phone (689) 216-8000
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bradenton, FL
- NPI 1073001012
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Miami, FL
- NPI 1346947496
-
- Anesthesiology Physician
- Miami Beach, FL
- NPI 1639150071
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Lawnwood Hospital
- General Acute Care Hospital
- Fort Pierce, FL
- NPI 1568409647
-
- General Acute Care Hospital
- Miami Beach, FL
- NPI 1912964768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1589155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1265054357",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5658 NW 16TH ST",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135448",
"telephone_number": "954-554-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5658 NW 16TH ST",
"city": "LAUDERHILL",
"state": "FL",
"postal_code": "333135448",
"telephone_number": "954-554-0286"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUSSELL",
"first_name": "SEAN-PATRICK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-05-11",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "FL",
"license": "RN9436906",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11019891",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lauderhill, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.